Bailis, Jessica Ruth

Bailis, Jessica Ruth is an individual health care provider with primary practice located at 200 W Arbor Dr , San Diego CA 92103-9000. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bailis, Jessica Ruth can be contacted via phone (800) 926-8273.

Contact Information

Primary practice address
200 W Arbor Dr San Diego CA 92103-9000
Phone: (800) 926-8273
Fax: (888) 539-8781
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 27537 California

Profile Details

NPI number 1760739049
LBN Legal business name Bailis, Jessica Ruth
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2012
Last updated Aug 31st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760739049 NPPES
California Other 27537 LIC

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